METHOD FOR REHABILITATION OF PATIENTS WITH IMPAIRED SPEECH FUNCTION AFTER SURGICAL INTERVENTIONS ON LARYNX AND ARTICULATION ORGANS Russian patent published in 2022 - IPC A61B5/00 A61H1/00 

FIELD: medicine; otorhinolaryngology; oncology.

SUBSTANCE: rehabilitation of patients with an impaired speech function after surgical interventions on the larynx and articulation organs is carried out by restoration of communication and voice through a communicator. At the same time, correction is carried out to preserve and restore the speech function for communication – the timbre and intonation-methodical structure of the voice characteristic of a patient, in three stages. At the first stage, before the surgical intervention, the patient creates an individual speech database in the form of a communicative application by means of the communicator, recording to the communicator intonated patterns of phrases and speech turns necessary for subsequent alternative communication with his own or donor voice, namely: “About oneself”, “Date and time”, “Greetings and goodbyes”, “Agreement or disagreement”, “Phrases of politeness”, “Ways to maintain a conversation and react to what was said”, “Acquaintance”, “Standard answers”, “In a medical institution”, “Everyday situations”, “Movement”, “Shop”. Then, the patient is trained to use the communicative application in a training mode by modeling situations of using prepared phrases in everyday communication, forming a skill of fluency in using intonated phrase patterns, strategy for choosing the right phrase or word with the selection of a pace and volume of speech comfortable for the patient. At the second stage of rehabilitation, after surgical intervention, the patient uses during alternative communication the communicative application in the form of intonated phrase patterns recorded and worked out at the first stage of rehabilitation. Moreover, during the first days after surgical intervention, intonated phrase patterns are used as auxiliary, facilitating the transition to own sounding speech. In the case of a low probability of restoration of a sounding intelligible speech, the maximum expansion of intonated phrase patterns and an increase in fluency are carried out by working out communication situations according to each of proposed alternative communication speech turns. When restoring the sounding intelligible speech, the third stage of rehabilitation is started. At the same time, the communicative application is used in the form of alternative communication speech turns as a base for the restoration of expanded phrasal speech and increase in the endurance of the voice by gradually increasing the length of a sounding phrase and forming simple common and complex sentences. At the same time, a specialist forms an intonational and rhythmic image of a word and a phrase, placing semantic and intonational accents, individually planning and designating pauses for inhale and the duration of a phrase segment available for sounding on one speech exhale.

EFFECT: method allows for an increase in the efficiency of restoration of a speech function and reduction in the rehabilitation time of patients after surgical interventions on the larynx and articulation organs due to the three-stage restoration of the speech function by means of the use of a communicative application.

2 cl, 3 ex